Note: For Single Sign-on (SSO) access for local contracted providers, please reference the tip sheet Pre-service Review for an out-of-area member.

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1 July 2016 The iexchange Web tool supports direct submission and provides online approval of benefits for preauthorization requests. Listed below are the steps for submitting a treatment search to Blue Cross and Blue Shield of Texas (BCBSTX). A treatment search allows a provider to search for requests for their organization. iexchange is available 24 hours a day, 7 days a week with the exception of every third Sunday of the month when the system will be unavailable from 11 a.m. to 3 p.m., CT. If you are an out-of-area provider, please go to step 2. For assistance with iexchange access, please reference the Pre-service Review tip sheet when servicing local and out-of-area members. Direct Access (Available to Texas contracted providers only) User ID Each user will be assigned a unique User ID by their organization s iexchange Administrator. iexchange ID A unique number BCBSTX assigns to provider organizations registered with iexchange. Password New users are supplied a temporary password by their iexchange Administrator. Note: For Single Sign-on (SSO) access for local contracted providers, please reference the tip sheet Pre-service Review for an out-of-area member. Submitting a Treatment Search 1. After logging into iexchange, users can access Frequently used payers from the Starting point menu. From the payer list, users can select Blue Cross Blue Shield of Texas. This will activate the iexchange toolbar. Note: The Payer field will be pre-populated for Out-of-area providers accessing iexchange through their local plan portal. 1 A Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association

2 2. After clicking on the Search tab, select Treatment search in either area to begin your 2

3 Member Search 3. Select Member ID* to begin your Click Member Search Users will be directed to the Member search and be asked to supply the BCBSTX Member ID number minus the alpha prefix. After entering the Member ID, click Submit Search. Note: If multiple policies exist, users will be asked to supply the member s date of birth. From the search results, click Select for the member you are searching for. 3

4 Member Search The member ID will populate from your Member search Enter Start and End date Enter Request type Select All or Open requests Click Submit search Treatment Search 4. Select Treatment range* to begin your Enter Start and End date Enter Request type Select All or Open requests 4 Click Submit search

5 Request ID Search 5. Select Request ID* in the Search type to begin your Enter Request ID Tip: The Request ID is the number given after your case pends AABBC Tip: Alpha characters should be capitalized when searching by Request ID Select Submit search Treatment search details 6. After selecting Submit search, a summary of treatment details will display Request ID *approval number Summary 12345AABBC Tip: This screen will also be the result of search options of steps 3 and 4. 5 Availity is a registered trademark of Availity, L.L.C., an independent third-party vendor. BCBSTX makes no endorsement, representations or warranties regarding any products or services offered by Availity. The vendor is solely responsible for the products or services offered by them. If you have any questions regarding the services offered here, you should contact the vendor directly. Please note that the fact that a service has been preauthorized/pre-certified is not a guarantee of payment. Benefits will be determined once a claim is received and will be based upon, among other things, the member s eligibility and the terms of the member s certificate of coverage applicable on the date services were rendered.